GI Pharmacology Flashcards
PPI
Omeprazole, Lansoprazole
Peptic Ulcer disease
Irreversibly inhibits H/K ATPase in parietal cells
PPI issues?
Abdo pain, Constipation/diarrhoea
Masks symptoms of gastro-oesophageal cancer
Omeprazole is a CYP inhibitor -
reduces clopidogrel activation
Increased effects of warfarin / phenytoin
H2 Receptor antagonists
Ranitidine
Inhibits H2 at parietal cells - reduced histamine
CURRENT LARGE SCALE RECALL ON RANITIDINE PRODUCTS
Gaviscon
Alginic acid + antacid
Buffers stomach acid
Magnesium Carbonate - Diarrhoea
Aluminium hydroxide - Constipation
Aminosalicylates
Mesalazine
Ulcerative colitis - 1st line treatment
Releases 5-aminosalicylic acid (anti-inflammatory)
Enteric coated - topical action at colon
H Pylori treatment
Lansoprazole + clarithromycin + Amoxicillin/metronidazole
(+ve urea breathe test)